Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Anywhere Clinic Medical PLLC

Organization Psychiatry Physician · NPI 1396679775

Anywhere Clinic Medical PLLC provides Psychiatry Physician services in Fort Lauderdale, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4546 N Federal Hwy
Fort Lauderdale, FL 33308-5204
Phone: (702) 848-2256
Fax: (702) 485-6746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1396679775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grant Bullock — Owner · (702) 848-2256
NPI enumeratedJune 10, 2026
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address4029 Dean Martin Dr, Las Vegas, NV 89103-4138

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